Extensive Cortical Diffusion Restriction in a 50-Year-Old Female with Hyperammonemic Encephalopathy and Status Epilepticus
Joint Authors
Ansari, Safdar
de Havenon, Adam
French, Kris
Source
Case Reports in Neurological Medicine
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-04-24
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Comorbid hyperammonemic encephalopathy (HE) and status epilepticus (SE) leading to extensive cortical diffusion restriction (CDR) on MRI have not been previously reported.
We describe a patient with HE who subsequently developed provoked SE.
Sequential MRIs demonstrated a progressive CDR that involved the entire bilateral supratentorial cortex, thalami, and basal ganglia, resulting in death from cerebral edema and brain herniation.
Diffuse CDR is most frequently seen after hypotension or hypoxia, which our patient did not experience.
Such findings have also been described in both HE and SE (Milligan et al.
(2009), Chatzikonstantinou et al.
(2011), U-King-Im et al.
(2011), and Bindu et al.
(2009)), but not to the extent seen in our patient.
Additionally, our patient had distinct radiologic features of both disease processes, suggesting a cumulative effect.
The diagnosis of HE and SE in the setting of extensive CDR should not be missed and could lead to improved outcomes for two progressive, malignant, and treatable illnesses that can be easily overlooked.
American Psychological Association (APA)
de Havenon, Adam& French, Kris& Ansari, Safdar. 2014. Extensive Cortical Diffusion Restriction in a 50-Year-Old Female with Hyperammonemic Encephalopathy and Status Epilepticus. Case Reports in Neurological Medicine،Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-457935
Modern Language Association (MLA)
de Havenon, Adam…[et al.]. Extensive Cortical Diffusion Restriction in a 50-Year-Old Female with Hyperammonemic Encephalopathy and Status Epilepticus. Case Reports in Neurological Medicine No. 2014 (2014), pp.1-4.
https://search.emarefa.net/detail/BIM-457935
American Medical Association (AMA)
de Havenon, Adam& French, Kris& Ansari, Safdar. Extensive Cortical Diffusion Restriction in a 50-Year-Old Female with Hyperammonemic Encephalopathy and Status Epilepticus. Case Reports in Neurological Medicine. 2014. Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-457935
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-457935